Home Health Aides in Alton, IL
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Alton for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Alton, IL: the local picture
14 Medicare-certified home health agencies list Alton ZIP codes in their service area; the highest-rated are below, and 7 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in Illinois earn a median $18.30 an hour (BLS, May 2025), with the middle half between $17.70 and $18.61.
Alton has about 4,354 residents aged 65 or older, 44% of whom report a disability.
Alton compared with Madison County and Illinois
| Census figure | Alton | Madison County | Illinois |
|---|---|---|---|
| Residents 65+ with a disability | 44% | 35% | 32% |
| Residents 65 or older | 17% | 19% | 17% |
| Residents 85 or older | 2.3% | 2.1% | 2.0% |
| Residents 65+ in households who live alone | 44% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 16% | 9.0% | 10% |
| Residents 5+ who speak a language other than English at home | 3.9% | 3.6% | 24% |
| Median income, households headed by someone 65+ | $37,027 | $57,096 | — |
Older residents in towns around Alton
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| East Alton, IL | 2.7 mi | 890 | 30% |
| Rosewood Heights, IL | 4.3 mi | 1,068 | 43% |
| Wood River, IL | 4.9 mi | 1,691 | 46% |
| Godfrey, IL | 5.1 mi | 4,551 | 33% |
| Bethalto, IL | 5.7 mi | 2,119 | 28% |
| Spanish Lake, MO | 8.5 mi | 2,122 | 50% |
Medicare-certified home health agencies serving Alton
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aw Health Care | Saint Louis, MO | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Evertrue Home Health | St. Louis, MO | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Adoration Home Health | O Fallon, IL | 27 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (618) 622-8854 |
| Elara Caring V | Springfield, IL | 65 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 718-4889 |
| Residential Home Health Of Southern Illinois | Glen Carbon, IL | 14 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 642-6099 |
| Anderson Home Health Services | Maryville, IL | 17 mi | 4 of 5 | nursing, physical therapy, occupational therapy, medical social work | (618) 391-5731 |
| Bjc Home Care Services | Saint Louis, MO | 24 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 362-0200 |
| Apollo Medical | Saint Louis, MO | 24 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 692-0611 |
Straight-line miles from the center of Alton. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Alton
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 51% of the $3,086 monthly median income of Alton households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in Alton: common questions
Which home health agencies serve Alton?
Medicare lists 14 certified agencies whose service area includes Alton ZIP codes. The highest-rated on Medicare’s quality stars include Aw Health Care (4.5 of 5), Evertrue Home Health (4.5 of 5), Adoration Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Alton?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 51% of the $3,086 monthly median income of Alton households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near Alton
Home Health Aides in nearby cities
- Home Health Aides in East Alton, IL
- Home Health Aides in Rosewood Heights, IL
- Home Health Aides in Wood River, IL
- Home Health Aides in Godfrey, IL
- Home Health Aides in Bethalto, IL
- Home Health Aides in Spanish Lake, MO
- Home Health Aides in Old Jamestown, MO
- Home Health Aides in Black Jack, MO
- Home Health Aides in Glasgow Village, MO
- Home Health Aides in Bellefontaine Neighbors, MO
- Home Health Aides in Riverview, MO
- Home Health Aides in Holiday Shores, IL
- Home Health Aides in Edwardsville, IL
- Home Health Aides in Florissant, MO
- Home Health Aides in Moline Acres, MO
- Home Health Aides in Granite City, IL
Other care in Alton
- Companion Care in Alton
- Dementia Care in Alton
- Respite Care in Alton
- Live-In Caregivers in Alton
- Post-Surgery Care in Alton
- Senior Transportation in Alton
- Nursing Assistants in Alton
- Personal Care in Alton
- Overnight Caregivers in Alton
- 24-Hour Home Care in Alton
- Mobility Assistance in Alton
- Parkinson’s Care in Alton
- Stroke Recovery Support in Alton
- Disability Care for Adults in Alton
- Hospice Support in Alton
- Senior Meal Preparation in Alton
- Senior Housekeeping in Alton
- Medication Reminders in Alton
- Veterans’ Home Care in Alton
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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